Individual provider Active NPI

Michelle Chierico, LMSW

  • Social Worker
  • Syracuse, NY
National Provider Identifier
1265074108
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
107396 Issued in NY
Practice address
960 Salt Springs Rd
Syracuse, NY 13224-1639
Phone
(315) 446-6520
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107396 NY Primary

Addresses

Primary practice location

960 Salt Springs Rd
Syracuse, NY 13224-1639

Mailing address

205 Village Blvd S
Baldwinsville, NY 13027-3403
Phone (315) 506-3009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mchierico@elmcrest.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826000398 NY Practitioner - Clinical Social Worker 2860992617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse Psychological Services PCGroup PAC ID 4486998234, 3 clinicians

Practice addresses (Care Compare)

960 Salt Springs Rd
Syracuse, NY 13224-1639
Phone (315) 446-6250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107396NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Psychological Services PC CurrentSince Jun 6, 2025 Accepting new patients

Locations

960 Salt Springs Rd
Syracuse, NY 13224
Phone (315) 446-3220

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1265074108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 VILLAGE BLVD S",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130273403",
            "telephone_number": "315-506-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SALT SPRINGS RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241639",
            "telephone_number": "315-446-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIERICO",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mchierico@elmcrest.org",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "960 Salt Springs Rd",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132241639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.